JACOBS FAMILY FOUNDATION INC: Form 990PF, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- JACOBS FAMILY FOUNDATION INC (EIN 80-0304018)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2020-05-05
- IRS object ID
- 202001269349100230
- Schema version
- 2019v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990-PF
- Schedule B
- Accounting Fees Schedule
- Other Assets Schedule
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-05-05T18:03:31-05:00 | ReturnTs |
| Tax Period End | 2019-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 232872380 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LEONARD F POLK & CO PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 650 WASHINGTON ROAD SUITE 407 | AddressLine1Txt |
| City | PITTSBURGH | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 15228 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2019-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 800304018 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JACOBS FAMILY FOUNDATION INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | JACO | BusinessNameControlTxt |
| Phone | 7244688232 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6608 STATE ROUTE 22 | AddressLine1Txt |
| City | DELMONT | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 15626 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TERRENCE S JACOBS | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 7244688232 | PhoneNum |
| Signature | 2020-07-15 | SignatureDt |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | WARREN W KIPLING | PreparerPersonNm |
| PTIN | P00074045 | PTIN |
| Phone | 4125631141 | PhoneNum |
| Preparation | 2020-05-05 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 71.245.181.84 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-05-05 | IPDt |
| IP Tm | 18:03:31 | IPTm |
| IP Timezone | CD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 09F66DFAA4C1BD3380B88068A26985BE4AF8E38C | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 09F66DFAA4C1BD3380B88068A26985BE4AF8E38C | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2021-04-22 16:20:28Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $1,378,543 | FMVAssetsEOYAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rcvd Rev And Expnss | $100,000 | ContriRcvdRevAndExpnssAmt |
| Interest On Sav Rev And Expnss | $25,512 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $25,512 | InterestOnSavNetInvstIncmAmt |
| Interest On Savings Adj Net Incm | $25,512 | InterestOnSavingsAdjNetIncmAmt |
| Total Rev And Expnss | $125,512 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $25,512 | TotalNetInvstIncmAmt |
| Total Adj Net Incm | $25,512 | TotalAdjNetIncmAmt |
| Accounting Fees Rev And Expnss | $1,744 | AccountingFeesRevAndExpnssAmt |
| Other Prof Fees Rev And Expnss | $904 | OtherProfFeesRevAndExpnssAmt |
| Taxes Rev And Expnss | $332 | TaxesRevAndExpnssAmt |
| Tot Opr Expenses Rev And Expnss | $2,980 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $0 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $0 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $67,970 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $67,970 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $70,950 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $0 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $67,970 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $54,562 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $25,512 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $25,512 | AdjustedNetIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | $199,296 | CashBOYAmt |
| Cash EOY | $132,425 | CashEOYAmt |
| Cash EOYFMV | $132,425 | CashEOYFMVAmt |
| Sav And Temp Cash Invst BOY | $1,124,585 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $1,246,118 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $1,246,118 | SavAndTempCashInvstEOYFMVAmt |
| Other Assets BOY | $100 | OtherAssetsBOYAmt |
| Total Assets BOY | $1,323,981 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,378,543 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $1,378,543 | TotalAssetsEOYFMVAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow FASB117 | Yes (X) | OrgDoesNotFollowFASB117Ind |
| Retained Earning BOY | $1,323,981 | RetainedEarningBOYAmt |
| Retained Earning EOY | $1,378,543 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $1,323,981 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $1,378,543 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $1,323,981 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $1,378,543 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $1,323,981 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $54,562 | ExcessRevenueOverExpensesAmt |
| Subtotal | $1,378,543 | SubtotalAmt |
| Tot Net Ast Or Fund Balances EOY | $1,378,543 | TotNetAstOrFundBalancesEOYAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | false | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $75,588 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $1,151,548 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 0.065640 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $103,078 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $1,047,269 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 0.098426 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $80,967 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $1,012,332 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 0.079981 | DistributionYr3Rt |
| Adjusted Qlfy Distri Yr4 | $73,470 | AdjustedQlfyDistriYr4Amt |
| Net Vl Noncharitable Assets Yr4 | $994,590 | NetVlNoncharitableAssetsYr4Amt |
| Distribution Yr4 | 0.073870 | DistributionYr4Rt |
| Adjusted Qlfy Distri Yr5 | $53,364 | AdjustedQlfyDistriYr5Amt |
| Net Vl Noncharitable Assets Yr5 | $860,303 | NetVlNoncharitableAssetsYr5Amt |
| Distribution Yr5 | 0.062029 | DistributionYr5Rt |
| Total Distribution | 0.379946 | TotalDistributionRt |
| Average Distribution | 0.075989 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $1,292,202 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $98,193 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $255 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $98,448 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $67,970 | QualifyingDistributionsAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $510 | InvestmentIncomeExciseTaxAmt |
| Subtotal | $510 | SubtotalAmt |
| Tax Based On Investment Income | $510 | TaxBasedOnInvestmentIncomeAmt |
| Form2220 Attached | Yes (X) | Form2220AttachedInd |
| Es Penalty | $14 | EsPenaltyAmt |
| Tax Due | $524 | TaxDueAmt |
Statements Regarding Acty StatementsRegardingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Acty | false | LegislativePoliticalActyInd |
| More Than100 Spent | false | MoreThan100SpentInd |
| Form1120 POL Filed | false | Form1120POLFiledInd |
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRptInd |
| Changes To Articles Or Bylaws | false | ChangesToArticlesOrBylawsInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Organization Dissolved Etc | false | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | Yes (true) | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (true) | AtLeast5000InAssetsInd |
| Org Report Or Register State | PA | OrgReportOrRegisterStateCd |
| Form990 PF Filed With Atty Gen | Yes (true) | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | false | PrivateOperatingFoundationInd |
| New Substantial Contributors | false | NewSubstantialContributorsInd |
| Own Controlled Entity | false | OwnControlledEntityInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (true) | ComplyWithPublicInspRqrInd |
| Website Address | N/A | WebsiteAddressTxt |
| Individual With Books | TERRENCE S JACOBS | IndividualWithBooksNm |
| Phone | 7244688232 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6247 LOUISE COVE DRIVE | AddressLine1Txt |
| City | WINDERMERE | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 34786 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Accounts Question | false | ForeignAccountsQuestionInd |
Statements Regarding Acty4720 StatementsRegardingActy4720Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exch Disqualified Prsn | false | SaleOrExchDisqualifiedPrsnInd |
| Brrw Or Lend Disqualified Prsn | false | BrrwOrLendDisqualifiedPrsnInd |
| Furn Goods Disqualified Prsn | false | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | false | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | false | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | false | PaymentToGovernmentOfficialInd |
| Undistributed Income PY | false | UndistributedIncomePYInd |
| Business Holdings | false | BusinessHoldingsInd |
| Jeopardy Investments | false | JeopardyInvestmentsInd |
| Uncorrected PY Jeopardy Invst | false | UncorrectedPYJeopardyInvstInd |
| Influence Legislation | false | InfluenceLegislationInd |
| Influence Election | false | InfluenceElectionInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Noncharitable Purpose | false | NoncharitablePurposeInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|---|---|---|---|
| TERRENCE S JACOBS | ||||||||
| 6247 LOUISE COVE DRIVE | WINDERMERE | FL | 34786 | PRESIDENT | 1.00 | $0 | $0 | $0 |
| DARRYL M JACOBS | ||||||||
| 4057 SABLE LOOP DRIVE | LAKE WALES | FL | 33859 | SECRETARY | 0.25 | $0 | $0 | $0 |
| DARRYL M JACOBS JR | ||||||||
| 6608 STATE ROUTE 22 | DELMONT | PA | 15626 | DIRECTOR | 0.25 | $0 | $0 | $0 |
| MATHEW S JACOBS | ||||||||
| 6608 STATE ROUTE 22 | DELMONT | PA | 15626 | TREASURER | 1.00 | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Comp Of Hghst Pd Empl Or NONE | NONE | CompOfHghstPdEmplOrNONETxt |
| Comp Of Hghst Pd Cntrct Or NONE | NONE | CompOfHghstPdCntrctOrNONETxt |
Sum Of Program Related Invst SumOfProgramRelatedInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description1 | N/A | Description1Txt |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $0 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $1,311,880 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $1,311,880 | TotalFMVOfUnusedAssetsAmt |
| Adjusted Total FMV Of Unused Ast | $1,311,880 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $19,678 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $1,292,202 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $64,610 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $64,610 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $510 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $510 | TotalTaxAmt |
| Distributable Before Adj | $64,100 | DistributableBeforeAdjAmt |
| Distributable Before Ded | $64,100 | DistributableBeforeDedAmt |
| Distributable As Adjusted | $64,100 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $67,970 | ExpensesAndContributionsAmt |
| Qualifying Distributions | $67,970 | QualifyingDistributionsAmt |
| Adjusted Qualifying Distri | $67,970 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $64,100 | DistributableAsAdjustedAmt |
| Excess Distribution Cyov Yr5 | $10,412 | ExcessDistributionCyovYr5Amt |
| Excess Distribution Cyov Yr4 | $23,819 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr3 | $30,430 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr2 | $50,859 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $18,343 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $133,863 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $67,970 | QualifyingDistributionsAmt |
| Applied To Current Year | $64,100 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $3,870 | RemainingDistriFromCorpusAmt |
| Total Corpus | $137,733 | TotalCorpusAmt |
| Undistributed Income CY | $0 | UndistributedIncomeCYAmt |
| Excess Distri Cyov From Yr5 | $10,412 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $127,321 | ExcessDistriCyovToNextYrAmt |
| Excess From Year4 | $23,819 | ExcessFromYear4Amt |
| Excess From Year3 | $30,430 | ExcessFromYear3Amt |
| Excess From Year2 | $50,859 | ExcessFromYear2Amt |
| Excess From Year1 | $18,343 | ExcessFromYear1Amt |
| Excess From Current Year | $3,870 | ExcessFromCurrentYearAmt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributing Manager | TERRENCE S JACOBS | ContributingManagerNm |
| Contributing Manager | DARRYL M JACOBS | ContributingManagerNm |
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (83 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|---|
| ALS ASSOCIATION | |||||||
| P O BOX 96011 | WASHINGTON | DC | 200906011 | N/A | PUBLIC | OPERATING EXPENDITURE | $250 |
| ALZHEIMERS DISEASE RESEARCH | |||||||
| 22512 GATEWAY CENTER DR | CLARKSBURG | MD | 20871 | N/A | PUBLIC | OPERATING EXPENDITURE | $250 |
| ALZHEIMER'S ASSOCIATION | |||||||
| P O BOX 96011 | WASHINGTON | DC | 200906011 | N/A | PUBLIC | OPERATING EXPENDITURE | $250 |
| AMERICAN INSTITUTE FOR CANCER RESEA | |||||||
| P O BOX 97167 | WASHINGTON | DC | 200777824 | N/A | PUBLIC | OPERATING EXPENDITURE | $500 |
| AMERICAN ACTION FOR BLIND CHILDREN | |||||||
| POBOX 17294 | BALTIMORE | MD | 212988405 | N/A | PUBLIC | OPERATING EXPENDITURE | $100 |
| AMERICAN BIBLE SOCIETY | |||||||
| P O BOX 96812 | WASHINGTON | DC | 200906812 | N/A | PUBLIC | OPERATING EXPENDITURE | $500 |
| THE AMERICAN LEGION | |||||||
| P O BOX 21016 | TULSA | OK | 741211016 | N/A | PUBLIC | OPERATING EXPENDITURE | $400 |
| AMERICAN CENTER FOR LAW & JUSTICE | |||||||
| P O BOX 90555 | WASHINGTON | DC | 200900555 | N/A | PUBLIC | OPERATING EXPENDITURE | $2,000 |
| AMERICAN CIVIL RIGHTS UNION | |||||||
| P O BOX 96189 | WASHINGTON | DC | 200777725 | N/A | PUBLIC | OPERATING EXPENDITURE | $500 |
| AMERICAN FAMILY ASSOCIATION | |||||||
| PO DRAWER 2440 | TUPELO | MS | 38803 | N/A | PUBLIC | OPERATING EXPENDITURE | $2,000 |
| THE ANIMAL FRIENDS OF WESTMORELAND | |||||||
| 216 DEPOT STREET | YOUNGWOOD | PA | 15697 | N/A | PUBLIC | OPERATING EXPENDITURE | $1,000 |
| ARTHRITIS FOUNDATION | |||||||
| PO BOX 96280 | WASHINGTON | DC | 200906280 | N/A | PUBLIC | OPERATING EXPENDITURE | $275 |
| BE THE MATCH | |||||||
| 500 N 5TH STREET | MINNEAPOLIS | MN | 554011206 | N/A | PUBLIC | OPERATING EXPENDITURE | $250 |
| BIBLE LEAGUE | |||||||
| 1 BIBLE LEAGUE PLAZA | CRETE | IL | 604179902 | N/A | PUBLIC | OPERATING EXPENDITURE | $200 |
| BIG BROTHERS BIG SISTERS | |||||||
| 106 NORTH MAIN ST | GREENSBURG | PA | 15601 | N/A | PUBLIC | OPERATING EXPENDITURE | $250 |
| CHRISTIAN APPALACHIAN PROJECT | |||||||
| P O BOX 55911 | LEXINGTON | KY | 405555911 | N/A | PUBLIC | OPERATING EXPENDITURE | $3,000 |
| CITIZENS UNITED | |||||||
| P O BOX 97223 | WASHINGTON | DC | 200777291 | N/A | PUBLIC | OPERATING EXPENDITURE | $1,500 |
| CLELIAN HEIGHTS | |||||||
| 135 CLELIAN HEIGHTS LANE | GREENSBURG | PA | 15601 | N/A | PUBLIC | OPERATING EXPENDITURE | $100 |
| CONQUER CANCER THE ASCO FOUNDATION | |||||||
| PO BOX 896076 | CHARLOTTE | NC | 282896076 | N/A | PUBLIC | OPERATING EXPENDITURE | $100 |
| THE CONSERVATIVE CAUCUS INC | |||||||
| P O BOX 1890 | MERRIFIELD | VA | 221168090 | N/A | PUBLIC | OPERATING EXPENDITURE | $100 |
| CRU | |||||||
| P O BOX 628222 | ORLANDO | FL | 328629841 | N/A | PUBLIC | OPERATING EXPENDITURE | $1,250 |
| DELMONT LIONS CLUB FOUNDATION | |||||||
| P O BOX 52 | DELMONT | PA | 156260052 | N/A | PUBLIC | OPERATING EXPENDITURE | $60 |
| DISABLED AMERICAN VETERANS | |||||||
| P O BOX 14301 | CINCINNATI | OH | 452500301 | N/A | PUBLIC | OPERATING EXPENDITURE | $500 |
| DISABLED VETS NATIONAL FOUNDATION I | |||||||
| P O BOX 96262 | WASHINGTON | DC | 200906262 | N/A | PUBLIC | OPERATING EXPENDITURE | $250 |
| EASTERSEALS | |||||||
| P O BOX 621028 | ORLANDO | FL | 328621028 | N/A | PUBLIC | OPERATING EXPENDITURE | $200 |
| FAITH & FREEDOM COALITION | |||||||
| P O BOX 957736 | DULUTH | GA | 300959529 | N/A | PUBLIC | OPERATING EXPENDITURE | $1,000 |
| 40 DAYS FOR LIFE | |||||||
| 4112 EAST 29TH STREET | BRYAN | TX | 778024302 | N/A | PUBLIC | OPERATING EXPENDITURE | $500 |
| FOR THE TROOPS | |||||||
| P O BOX 96873 | WASHINGTON | DC | 200906873 | N/A | PUBLIC | OPERATING EXPENDITURE | $750 |
| FRIENDS OF DRAKE WELL INC | |||||||
| 205 MUSEUM LANE | TITUSVILLE | PA | 16354 | N/A | PUBLIC | OPERATING EXPENDITURE | $500 |
| FREEDOM SERVICE DOGS OF AMERICA | |||||||
| P O BOX 176090 | DENVER | CO | 802176090 | N/A | PUBLIC | OPERATING EXPENDITURE | $250 |
| BILLY GRAHAM EVANGELISTIC ASSO | |||||||
| 1 BILLY GRAHAM PARKWAY | CHARLOTTE | NC | 282010001 | N/A | PUBLIC | OPERATING EXPENDITURE | $1,000 |
| GUIDING EYES FOR THE BLIND INC | |||||||
| P O BOX 97007 | WASHINGTON | DC | 200907007 | N/A | PUBLIC | OPERATING EXPENDITURE | $500 |
| HABITAT FOR HUMANITY | |||||||
| 322 W LAMAR STREET | AMERICUS | GA | 317099906 | N/A | PUBLIC | OPERATING EXPENDITURE | $500 |
| HELP HEAL VETERANS | |||||||
| PO BOX 98088 | WASHINGTON | DC | 200908088 | N/A | PUBLIC | OPERATING EXPENDITURE | $300 |
| HEIFER INTERNATIONAL | |||||||
| P O BOX 8058 | LITTLE ROCK | AR | 722039412 | N/A | PUBLIC | OPERATING EXPENDITURE | $250 |
| HILLSDALE COLLEGE | |||||||
| 33 E COLLEGE STREET | HILLSDALE | MI | 492421298 | N/A | PUBLIC | OPERATING EXPENDITURE | $2,500 |
| DAVID HOROWITZ FREEDOM CENTER | |||||||
| P O BOX 98105 | WASHINGTON | DC | 200908105 | N/A | PUBLIC | OPERATING EXPENDITURE | $100 |
| INTL FELLOWSHIP OF CHRISTIANS & JEW | |||||||
| 30 NORTH LASALLE ST STE | CHICAGO | IL | 606022584 | N/A | PUBLIC | OPERATING EXPENDITURE | $1,000 |
| JUDICIAL WATCH | |||||||
| P O BOX 96234 | WASHINGTON | DC | 200777480 | N/A | PUBLIC | OPERATING EXPENDITURE | $1,500 |
| JUMONVILLE | |||||||
| 887 JUMONVILLE ROAD | HOPWOOD | PA | 15445 | N/A | PUBLIC | OPERATING EXPENDITURE | $500 |
| KISKI AREA YOUTH NETWORK | |||||||
| PO BOX 326 | VANDERGRIFT | PA | 15690 | N/A | PUBLIC | OPERATING EXPENDITURE | $500 |
| THE LEUKEMIA & LYMPHOMA SOCIETY | |||||||
| P O BOX 98011 | WASHINGTON | DC | 200908011 | N/A | PUBLIC | OPERATING EXPENDITURE | $500 |
| LEADERSHIP INSTITUTE | |||||||
| 1101 NORTH HIGHLAND ST | ARLINGTON | VA | 22201 | N/A | PUBLIC | OPERATING EXPENDITURE | $1,500 |
| LEUKEMIA & LYMPHOMA SOCIETY | |||||||
| 223 GREEN CT | PITTSBURGH | PA | 15234 | N/A | PUBLIC | OPERATING EXPENDITURE | $100 |
| LIFE CHOICES | |||||||
| 15A FRANKLIN VILLAGE MALL | KITTANNING | PA | 16201 | N/A | PUBLIC | OPERATING EXPENDITURE | $500 |
| LIGHT OF LIFE RESCUE MISSION | |||||||
| P O BOX 645427 | PITTSBURGH | PA | 152645252 | N/A | PUBLIC | OPERATING EXPENDITURE | $500 |
| MARCH OF DIMES | |||||||
| P O BOX 8972 | TOPEKA | KS | 666080037 | N/A | PUBLIC | OPERATING EXPENDITURE | $500 |
| MACULAR DEGENERATION RESEARCH | |||||||
| 22512 GATEWAY CENTER DR | CLARKSBURG | MD | 208711952 | N/A | PUBLIC | OPERATING EXPENDITURE | $200 |
| THOMAS MORE SOCIETY | |||||||
| 309 WASHINGTON ST STE 12 | CHICAGO | IL | 606031437 | N/A | PUBLIC | OPERATING EXPENDITURE | $1,500 |
| MSAA | |||||||
| P O BOX 96219 | WASHINGTON | DC | 200906219 | N/A | PUBLIC | OPERATING EXPENDITURE | $200 |
| NATIONAL MULTIPLE SCLEROSIS SOCIETY | |||||||
| PO BOX 4594 | NEW YORK | NY | 101634594 | N/A | PUBLIC | OPERATING EXPENDITURE | $250 |
| NTL FOUNDATION FOR CANCER RESEARCH | |||||||
| P O BOX 96024 | WASHINGTON | DC | 200906024 | N/A | PUBLIC | OPERATING EXPENDITURE | $625 |
| NATIONAL PRO-LIFE ALLIANCE | |||||||
| 5211 PORT ROYAL RD STE 5 | SPRINGFIELD | VA | 221519906 | N/A | PUBLIC | OPERATING EXPENDITURE | $3,500 |
| OPERATION SMILE | |||||||
| P O BOX 5017 | HAGERSTOWN | MD | 217419716 | N/A | PUBLIC | OPERATING EXPENDITURE | $500 |
| ORLANDO UNION RESCUE MISSION | |||||||
| PO BOX 2791 | ORLANDO | FL | 328029940 | N/A | PUBLIC | OPERATING EXPENDITURE | $500 |
| PARKINSON'S FOUNDATION | |||||||
| PO BOX 6003 | ALBERT LEA | MN | 560079902 | N/A | PUBLIC | OPERATING EXPENDITURE | $150 |
| PARALYZED VETERANS OF AMERICA | |||||||
| P O BOX 758589 | TOPEKA | KS | 666759950 | N/A | PUBLIC | OPERATING EXPENDITURE | $250 |
| PILOTS TO THE RESCUE | |||||||
| PO BOX 1373 | MERRIFIELD | VA | 221161373 | N/A | PUBLIC | OPERATING EXPENDITURE | $100 |
| PRISON FELLOWSHIP | |||||||
| P O BOX 1550 | MERRIFIELD | VA | 221161550 | N/A | PUBLIC | OPERATING EXPENDITURE | $350 |
| PROSTATE CANCER FOUNDATION | |||||||
| P O BOX 7015 | ALBERT LEA | MN | 560078015 | N/A | PUBLIC | OPERATING EXPENDITURE | $1,000 |
| REAGAN RANCH | |||||||
| P O BOX 2518 | SANTA BARBARA | CA | 931202699 | N/A | PUBLIC | OPERATING EXPENDITURE | $100 |
| SAMARITAN'S PURSE | |||||||
| P O BOX 3000 | BOONE | NC | 28607 | N/A | PUBLIC | OPERATING EXPENDITURE | $1,000 |
| SAVE THE CHILDREN | |||||||
| PO BOX 97132 | WASHINGTON | DC | 200907132 | N/A | PUBLIC | OPERATING EXPENDITURE | $1,000 |
| SALVATION ARMY-DISASTER RELIEF | |||||||
| PO BOX 1959 | ATLANTA | GA | 30301 | N/A | PUBLIC | OPERATING EXPENDITURE | $7,500 |
| SEMPER K9 ASSISTANCE DOGS | |||||||
| PO BOX 17618 | WASHINGTON | DC | 20041 | N/A | PUBLIC | OPERATING EXPENDITURE | $250 |
| SLAVIC GOSPEL ASSOCIATION | |||||||
| 6151 COMMONWEALTH DR | LOVES PARK | IL | 611119907 | N/A | PUBLIC | OPERATING EXPENDITURE | $250 |
| SMILE TRAIN | |||||||
| P O BOX 96231 | WASHINGTON | DC | 200906231 | N/A | PUBLIC | OPERATING EXPENDITURE | $1,000 |
| SOUTHEASTERN LEGAL FOUNDATION | |||||||
| P O BOX 17454 | WASHINGTON | DC | 200410454 | N/A | PUBLIC | OPERATING EXPENDITURE | $2,000 |
| SPECIAL OLYMPICS PENNSYLVANIA | |||||||
| P O BOX 3010 | NORRISTOWN | PA | 194043010 | N/A | PUBLIC | OPERATING EXPENDITURE | $100 |
| STUDENTS FOR LIFE OF AMERICA | |||||||
| PO BOX 1648 | MERRIFIELD | VA | 221161648 | N/A | PUBLIC | OPERATING EXPENDITURE | $1,610 |
| SUSAN B ANTHONY LIST | |||||||
| 2800 SHIRLINGTON RD 12TH | ARLINGTON | VA | 22206 | N/A | PUBLIC | OPERATING EXPENDITURE | $1,000 |
| TEEN QUEST | |||||||
| 293 RICH ROAD | SOMERSET | PA | 15501 | N/A | PUBLIC | OPERATING EXPENDITURE | $500 |
| TOYS FOR TOTS | |||||||
| P O BOX 4002036 | DES MOINES | IA | 503402896 | N/A | PUBLIC | OPERATING EXPENDITURE | $250 |
| TRAVIS MANION FOUNDATION | |||||||
| PO BOX 435 | SEWICKLEY | PA | 15143 | N/A | PUBLIC | OPERATING EXPENDITURE | $100 |
| TROOPS FIRST FOUNDATION | |||||||
| ROUTE 30 EAST PO BOX 120 | GREENSBURG | PA | 15601 | N/A | PUBLIC | OPERATING EXPENDITURE | $5,000 |
| UPMC HILLMAN CANCER CENTER | |||||||
| 200 LOTHROP ST | PITTSBURGH | PA | 152139974 | N/A | PUBLIC | OPERATING EXPENDITURE | $500 |
| THE USO | |||||||
| P O BOX 96860 | WASHINGTON | DC | 200777677 | N/A | PUBLIC | OPERATING EXPENDITURE | $1,200 |
| VETERANS OF FOREIGN WARS OF US | |||||||
| P O BOX 8958 | TOPEKA | KS | 666089805 | N/A | PUBLIC | OPERATING EXPENDITURE | $500 |
| WEST GREENE LIONS CLUB | |||||||
| 3371 WEST ROY FURMAN HWY | WAYNESBURG | PA | 15370 | N/A | PUBLIC | OPERATING EXPENDITURE | $100 |
| WESTMORELAND CTY FOOD BANK INC | |||||||
| P O BOX 599 | MURRYSVILLE | PA | 156680599 | N/A | PUBLIC | OPERATING EXPENDITURE | $1,000 |
| WESTMORELAND COUNTY FOOD BANK | |||||||
| 100 DEVONSHIRE DRIVE | DELMONT | PA | 15626 | N/A | PUBLIC | OPERATING EXPENDITURE | $1,000 |
| WESTMORELAND MUSEUM OF AMERICAN ART | |||||||
| 221 NORTH MAIN STREET | GREENSBURG | PA | 15601 | N/A | PUBLIC | OPERATING EXPENDITURE | $1,000 |
| WOUNDED WARRIOR PROJECT | |||||||
| P O BOX 758541 | TOPEKA | KS | 666758540 | N/A | PUBLIC | OPERATING EXPENDITURE | $850 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $67,970 | TotalGrantOrContriPdDurYrAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Related Or Exempt Function Incm | $25,512 | RelatedOrExemptFunctionIncmAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Related Or Exempt Function Incm | $25,512 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $25,512 | TotalIncomeProducingActyAmt |
Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Nonchrtbl EO | false | TrnsfrOfCashToNonchrtblEOInd |
| Trnsfr Other Asset Nonchrtbl EO | false | TrnsfrOtherAssetNonchrtblEOInd |
| Sales Or Exchanges Of Assets | false | SalesOrExchangesOfAssetsInd |
| Purchase Of Assets Nonchrtbl EO | false | PurchaseOfAssetsNonchrtblEOInd |
| Rental Of Facilities Oth Assets | false | RentalOfFacilitiesOthAssetsInd |
| Reimbursement Arrangements | false | ReimbursementArrangementsInd |
| Loans Or Loan Guarantees | false | LoansOrLoanGuaranteesInd |
| Performance Of Services Etc | false | PerformanceOfServicesEtcInd |
| Sharing Of Facilities Etc | false | SharingOfFacilitiesEtcInd |
| Relationships Nonchrtbl EO | false | RelationshipsNonchrtblEOInd |
Schedule B IRS990ScheduleB
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| General Rule | Yes (X) | GeneralRuleInd |
Contributor Information ContributorInformationGrp (2 entries)
| ContributorContributorNum | Address Line1ContributorUSAddress/AddressLine1Txt | CityContributorUSAddress/CityNm | State AbbreviationContributorUSAddress/StateAbbreviationCd | ZIPContributorUSAddress/ZIPCd | Total ContributionsTotalContributionsAmt | Person ContributionPersonContributionInd |
|---|---|---|---|---|---|---|
| TERRENCE S JACOBS | ||||||
| 1 | 6247 LOUISE COVE DRIVE | WINDERMERE | FL | 34786 | $50,000 | Yes (X) |
| DARRYL M JACOBS | ||||||
| 2 | 4057 SABLE LOOP DRIVE | LAKE WALES | FL | 33859 | $50,000 | Yes (X) |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | TAX PREPARATION FEE | CategoryTxt |
| Amt | $1,744 | Amt |
Other Assets Schedule OtherAssetsSchedule
Other Assets Schedule OtherAssetsScheduleGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER RECEIVABLE | Desc |
| BOY Book Value | $100 | BOYBookValueAmt |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | ADVISORY FEES | CategoryTxt |
| Amt | $904 | Amt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | FED EXCISE TAX ON INV. INCOME | CategoryTxt |
| Amt | $332 | Amt |